Individual provider Active NPI

Deanna Jane Neal, FNPC

  • Family Nurse Practitioner
  • Farmerville, LA
National Provider Identifier
1649225343
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APO4117 Issued in LA
Practice address
1025 Marion Hwy
Farmerville, LA 71241-9314
Phone
(318) 368-9745
NPI assigned
May 23, 2006
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APO4117 LA Primary

Addresses

Primary practice location

1025 Marion Hwy
Farmerville, LA 71241-9314

Mailing address

PO Box 333
Smackover, AR 71762
Phone (318) 381-0983

Other identifiers 1

IdentifierTypeStateIssuer
1149250MedicaidLA

Other names 1

  • Deanna McGee McDougal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050531000595 LA Practitioner - Nurse Practitioner 3678515699 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APO4117LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Quickmed After Hours Walk in Clinic Family CurrentSince Nov 9, 2018 Accepting new patients
Convenient Care LLC Current Accepting new patients
St. Francis Urgent Care LLC CurrentSince Jun 19, 2017 Accepting new patients
Convenient Care LLC CurrentSince Jun 19, 2017 Accepting new patients
University Hospital & Clinics, Inc. CurrentSince Jul 5, 2017 Accepting new patients
Lourdes After Hours LLC CurrentSince Jun 19, 2017 Accepting new patients
Lourdes After Hours LLC CurrentSince Jun 19, 2017 Accepting new patients
University Hospital & Clinics Inc CurrentSince Jul 5, 2017 Accepting new patients
Convenient Care LLC CurrentSince Jun 19, 2017 Accepting new patients
St Francis Medical Center, Inc Past Accepting new patients
Affinity Health Group, LLC PastSince May 31, 2020 Accepting new patients

Locations

10319 Jefferson Hwy
Baton Rouge, LA 70809
Phone (224) 214-9352

12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857

3824 NE Evangeline Thruway
Carencro, LA 70520
Phone (337) 565-2675

2390 W Congress St
Lafayette, LA 70506
Phone (337) 261-6000

2020 Tower Dr
Ste 100
Monroe, LA 71201
Phone (318) 966-6220

814 Jefferson Ter
Ste A
New Iberia, LA 70560
Phone (337) 256-5123

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18475/brand/1/csg/1/fhir/r4

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1649225343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 333",
            "city": "SMACKOVER",
            "state": "AR",
            "postal_code": "71762",
            "telephone_number": "318-381-0983",
            "fax_number": "318-812-6603"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 MARION HWY",
            "city": "FARMERVILLE",
            "state": "LA",
            "postal_code": "712419314",
            "telephone_number": "318-368-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEAL",
        "first_name": "DEANNA",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "FNPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "APO4117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1149250",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEANNA",
            "last_name": "MCDOUGAL",
            "middle_name": "MCGEE",
            "credential": "FNPC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Farmerville, LA

Sources for this page

Verify at the official NPI Registry.